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乳糜血胸临床不常见,而丝虫病伴肺癌及双侧乳糜血胸更为少见。现报告1例。病历摘要:患者男,50岁。1983年1月开始咳嗽、无血痰。10多天后发热(38～39℃)伴胸闷、右胸胀痛。3月4日来本院。10年前曾患疟疾。查体:T 38℃,P 80次/分,R 20次/分,BP110/86mmHg。慢性病容,右侧卧位,气管左移,右胸腔积液征(+),余无异常发现。WBC8,600,/mm~3,N80%,L18%,E2%,Tc15万,ESR20mm/h,血微丝蚴(+)。右胸水血性,李凡他试验阳性,WBC950/mm~3,N
Chylothorax clinically uncommon, and filariasis with lung cancer and bilateral chylothorax is more rare. Now report 1 case. Medical record summary: Patient male, 50 years old. January 1983 began to cough, no bloody sputum. More than 10 days after fever (38 ~ 39 ℃) with chest tightness, right chest pain. March 4 to the hospital. Malaria ten years ago. Examination: T 38 ℃, P 80 beats / min, R 20 beats / min, BP 110/86 mmHg. Chronic disease, right lateral decubitus, left trachea, right pleural effusion sign (+), I found no abnormalities. WBC8,600, / mm ~ 3, N80%, L18%, E2%, Tc150000, ESR20mm / h, blood microfilaria (+). Right pleural fluid, Li Fan he test positive, WBC950 / mm ~ 3, N.